2014 - PCMH5C - Revision history

Tim at 19:46, 2 December 2015

2015-12-02T19:46:24Z

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	\|External Organization Policies and Procedures Example\|\|[[media:PCMH_5_C_1-7.pdf\|Examples ]]\|\|~~TPC~~\|\| 03/25/13		\|External Organization Policies and Procedures Example\|\|[[media:PCMH_5_C_1-7.pdf\|Examples ]]\|\|PCC Client\|\| 03/25/13
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Tim at 19:46, 2 December 2015

2015-12-02T19:46:10Z

← Older revision		Revision as of 19:46, 2 December 2015
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	=5.C.7 Exchanges key clinical information with facilities and provides an electronic summary-of-care record to another care facility for more than 50 percent of patient transitions of care. =		=5.C.7 Exchanges key clinical information with facilities and provides an electronic summary-of-care record to another care facility for more than 50 percent of patient transitions of care. =

			'''NCQA has stated that in alignment with the Meaningful Use Modified Stage 2 Final Rule, NCQA will accept a report demonstrating provision of electronic care summaries for more than 10 percent of care transitions.'''

			Refer to the "Summary of Care (Transmitted Only)" measure results in the "Stage 2" or "Modified Stage 2" version of the Meaningful Use report in PCC EHR. In order to meet this measure, your practice needs to use [http://learn.pcc.com/help/direct-secure-messaging/ PCC's Direct Secure Messaging functionality] to transmit a summary of care record electronically to a facility.

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	! style="background:#8facd9; width:20%;" \|'''Date Added'''		! style="background:#8facd9; width:20%;" \|'''Date Added'''
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	~~\|PCC EHR ability for electronic exchange of key clinical information with facilities\|\|[[media:5C.7.pdf\|PCC EHR electronic exchange of key clinical info ]]\|\|PCC\|\| 07/07/14~~
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	\|External Organization Policies and Procedures Example\|\|[[media:PCMH_5_C_1-7.pdf\|Examples ]]\|\|TPC\|\| 03/25/13		\|External Organization Policies and Procedures Example\|\|[[media:PCMH_5_C_1-7.pdf\|Examples ]]\|\|TPC\|\| 03/25/13
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Tim at 19:43, 2 December 2015

2015-12-02T19:43:17Z

← Older revision		Revision as of 19:43, 2 December 2015
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	=5.C.1 Proactively identifies patients with unplanned hospital admissions and emergency department visits. =		=5.C.1 Proactively identifies patients with unplanned hospital admissions and emergency department visits. =

	~~{\| border = "1"~~		NCQA will review your documented process for identifying patients who have been hospitalized or have had an ER visit. They'll also want to review a log of patients receiving care from different types of facilities or a report listing patients seen in the ER or hospital. You'll want to coordinate with your local hospital to make sure you are informed when your patients are seen at the hospital.
	~~! style="background:#8facd9; width:40%;" \|~~''~~'Description'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Source'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Date Added'''~~
	\|-
	\|}

	=5.C.2 Shares clinical information with admitting hospitals and emergency departments.=		=5.C.2 Shares clinical information with admitting hospitals and emergency departments.=

	~~{\| border = "1"~~		NCQA will review your documented process for providing hospitals and ERs with clinical information, and will review at least three de-identified examples of patient information sent to the hospital or ER. A good example for this would be if you are seeing patients in the office for pre-op visits and providing a visit summary to the hospital.
	~~! style="background:#8facd9; width:40%;" \|'''Description'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Source'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Date Added'''~~
	\|-
	\|}

	=5.C.3 Consistently obtains patient discharge summaries from the hospital and other facilities.=		=5.C.3 Consistently obtains patient discharge summaries from the hospital and other facilities.=

	~~{\| border = "1"~~		NCQA will review your documented process for obtaining hospital discharge summaries, and will review at least three examples of a discharge summary received from the hospital.
	~~! style="background:#8facd9; width:40%;" \|'''Description'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Source'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Date Added'''~~
	\|-
	\|}

	=5.C.4 Proactively contacts patients/families for appropriate follow-up care within an appropriate period following a hospital admission or emergency department visit. =		=5.C.4 Proactively contacts patients/families for appropriate follow-up care within an appropriate period following a hospital admission or emergency department visit. =

	~~{\| border = "1"~~		According to NCQA, you'll want to contact patients to evaluate their status after discharge from an ER or hospital and to make a follow-up appointment, if appropriate. Proactive contact includes offering patients appropriate care to prevent worsening of their condition and encouraging follow-up care. In addition to scheduling an appointment, follow-up care includes, but is not limited to, physician counseling; referrals to community resources; and disease or case management or self-management support programs. The practice’s policies define the appropriate contact period. NCQA will review your documented process and at least three de-identified examples of documented patient follow-up.
	~~! style="background:#8facd9; width:40%;" \|~~'~~''Description'''~~
	~~! style="background:#8facd9~~; ~~width:20%~~;~~" \|'''Example/Screenshot/Documentation'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Source'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Date Added'''~~
	\|-
	\|}

	=5.C.5 Exchanges patient information with the hospital during a patient’s hospitalization. =		=5.C.5 Exchanges patient information with the hospital during a patient’s hospitalization. =

	~~{\| border = "1"~~		According to NCQA, you'll want to have a two-way communication plan with hospitals to exchange information about hospitalized patients, enabling well-coordinated care during and after hospitalization. NCQA will review your documented process and at least one de-identified example of bi-directional information sharing with the hospital.
	~~! style="background:#8facd9; width:40%;" \|~~'~~''Description'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Source'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Date Added'''~~
	\|-
	\|}

	=5.C.6 Obtains proper consent for release of information and has a process for secure exchange of information and for coordination of care with community partners. =		=5.C.6 Obtains proper consent for release of information and has a process for secure exchange of information and for coordination of care with community partners. =

	~~{\| border = "1"~~		According to NCQA, you'll want a process for working with community partners, such as detention centers, halfway houses, juvenile justice facilities, foster care, child or adult protective services or others, to obtain appropriate consent for release of information to treat and coordinate care with those partners who have legal responsibility for certain patients. NCQA will review your documented process.
	~~! style="background:#8facd9; width:40%;" \|~~'~~''Description'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Source'''~~
	~~! style="background:#8facd9; width:20%;" \|'''Date Added'''~~
	\|-
	\|}

	=5.C.7 Exchanges key clinical information with facilities and provides an electronic summary-of-care record to another care facility for more than 50 percent of patient transitions of care. =		=5.C.7 Exchanges key clinical information with facilities and provides an electronic summary-of-care record to another care facility for more than 50 percent of patient transitions of care. =

Tim: Created page with "[http://pcmh.pcc.com/index.php/2014_Main Back to PCMH Resources Page] [http://pcmh.pcc.com/index.php/2014_-_PCMH5B << Move to previous PCMH element - 5B] [http://pcmh.pcc.co..."

2014-07-09T02:35:21Z

Created page with "[http://pcmh.pcc.com/index.php/2014_Main Back to PCMH Resources Page] [http://pcmh.pcc.com/index.php/2014_-_PCMH5B << Move to previous PCMH element - 5B] [http://pcmh.pcc.co..."

New page

[http://pcmh.pcc.com/index.php/2014_Main Back to PCMH Resources Page]

[http://pcmh.pcc.com/index.php/2014_-_PCMH5B << Move to previous PCMH element - 5B]

[http://pcmh.pcc.com/index.php/2014_-_PCMH6A>> Move to next PCMH element - 6A]

The practice:

=5.C.1 Proactively identifies patients with unplanned hospital admissions and emergency department visits. =

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|}

=5.C.2 Shares clinical information with admitting hospitals and emergency departments.=

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|}

=5.C.3 Consistently obtains patient discharge summaries from the hospital and other facilities.=

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|}

=5.C.4 Proactively contacts patients/families for appropriate follow-up care within an appropriate period following a hospital admission or emergency department visit. =

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|}

=5.C.5 Exchanges patient information with the hospital during a patient’s hospitalization. =

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|}

=5.C.6 Obtains proper consent for release of information and has a process for secure exchange of information and for coordination of care with community partners. =

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|}

=5.C.7 Exchanges key clinical information with facilities and provides an electronic summary-of-care record to another care facility for more than 50 percent of patient transitions of care. =

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|PCC EHR ability for electronic exchange of key clinical information with facilities||[[media:5C.7.pdf|PCC EHR electronic exchange of key clinical info ]]||PCC|| 07/07/14
|-
|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
|-
|}